Preparing for overseas travel: Objectives Recommend proper immunizations according to travel destinations Describe principles of malaria prevention and recommended prophylactic medications . Describe prevention and treatment of traveler’s diarrhea Describe major non-infectious risks for travelers, including high altitude exposures…
Neuromodulators, such as Xeomin, Botox, and Dysport, use botulinum toxin type A to block nerve activity in muscles, restricting movement and lessening the visibility of face wrinkles, including frown and forehead lines. These neurotoxins prevent the release of neurotransmitters…
Below are some of the most common fillers available in the market. Juvederm Ultra XC and Ultra XC Plus A hyaluronic acid-based filler that treats wrinkles and folds. Juvederm offers various products, such as Juvederm Ultra and Juvederm Ultra…
Microneedling Microneedling is a minimally invasive cosmetic treatment that makes several tiny punctures in the skin, stimulating the body’s natural healing cycle and inducing the development of new collagen and elastin, which helps reduce cosmetic flaws. This treatment aids…
The history, physical examination, and initial testing of the patient affected by obesity has unique aspects that enables us to: Create a supportive environment free of stigma or bias Understand an individual’s unique weight history Create a comprehensive assessment…
Evaluation and Management of Obesity related complications. This includes Monitoring of important lab parameters Assessment and evaluation of Obstructive Sleep Apnea Asessment and treatment of diabetes , prediabetes with careful consideration in using the most effective weight loss promoting…
American Council on Exercise Classification: Percent body fat* *Based on “expert opinion” cut-off points not scientifically validated
Obesity is a chronic multisystemic disease modulated by neural and hormonal factors beyond one’s personal control Weight is controlled via a multi-level complex system involving: 1) Gut hormones 2) Adipose tissue hormones These hormones input into the brain to…
Taking a Diet History 24-hour dietary recall –retrospective at office visit Trained interviewer records all global dietary intake, timing, spacing of food for a given a 24-hr period Food record – completed before appointment All intake prospectively recorded for…
Isocaloric energy-restricted meal replacements for 2 meals / day provide greater weight loss than diets composed of conventional foods. Similarly, in weight-loss maintenance, but with 1 meal replacement / day Can be used with any dietary approach Partial MR…